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A spinal epidural abscess (SEA) is a collection of pus or inflammatory granulation between the dura mater and the vertebral column. [1] Currently the annual incidence rate of SEAs is estimated to be 2.5–3 per 10,000 hospital admissions.
According to a 2008 study, the incidence of discitis in the United States is around 0.4 to 2.4 per 100,000 people each year depending on age group. [5] According to a later 2016 study, the combined prevalence of discitis and vertebral osteomyelitis with or without spinal epidural abscess for persons under 20 years old is uncommon (0.3 per 100,000 persons), and higher in older patients (6.5 per ...
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
Spinal epidural abscess is more common among those with diabetes mellitus or immunocompromised, who use intravenous drugs, or had spinal surgery, injection or catheter; it typically causes fever, leukocytosis and increased erythrocyte sedimentation rate. [3]
Cauda equina syndrome may also be caused by central disc prolapse or slipped disc, infections such as epidural abscess, spinal haemorrhages, secondary to medical procedures and birth abnormalities. [38] Cauda equina syndrome (CES) results from a lesion below the level at which the spinal cord ends.
If infection, such as a spinal epidural abscess, is the source of the back pain, surgery may be indicated when a trial of antibiotics is ineffective. [52] Surgical evacuation of spinal hematoma can also be attempted, if the blood products fail to break down on their own. [52]
Medical intervention Epidural administration A freshly inserted lumbar epidural catheter. The site has been prepared with tincture of iodine, and the dressing has not yet been applied. Depth markings may be seen along the shaft of the catheter. ICD-9-CM 03.90 MeSH D000767 OPS-301 code 8-910 [edit on Wikidata] Epidural administration (from Ancient Greek ἐπί, "upon" + dura mater) is a method ...
MRSA can infect the central nervous system and form brain abscess, subdural empyema, and spinal epidural abscess. Excision and drainage can be done along with antibiotic treatment. Septic thrombosis of cavernous or dural venous sinus can sometimes be a complication. [4]